2024 Lead with STEAAM Summer Experience
for BIPOC middle school (and returning high schools) girls. - July 15 - July 26, 2024
Are you a returning Young Leader from 2023?
*
YES
NO
Young Leader's Name:
*
First Name
Last Name
Young Leader's Email:
example@example.com
Parent/Guardian's Name
*
First Name
Last Name
Parent Guardian's Email
example@example.com
Parent/Guardian's Cell phone number:
*
Please enter a valid phone number.
Home Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Age of Young Leader (as of July 2024)
*
11
12
13
14
15
Grade of Young Leader (as of September 2024)
*
6th grade
7th grade
8th grade
9th grade
Name of School:
*
City/Town of School:
*
Please let us know if the Young Leader has Special Needs:
*
None
Academic IEP
Medical Condition (asthma, hearing impaired, sight impaired, etc...)
Mobility (needs wheelchair access)
Neurodiverse/Autistic
Other
T-shirt size:
*
Adult Small
Adult Medium
Adult Large
Adult XL
Adult 2X
Select the STEAM areas of interest:
*
SCIENCE
TECHNOLOGY
ENGINEERING (architecture, building, etc...)
ARTS (drawing, painting, dancing, singing, drama, filmmaking, etc...)
MATH
Dietary Restrictions: Please indicate.
*
Will daily medication need to be administered?
*
YES
NO
How did you hear about the Lead with STEAAM Summer Experience
*
Why do you want to attend the Lead with STEAAM Summer Experience?
*
I give GfG permission to use photos/videos of my child and/or me in media, advertising, publications, and/or promotional materials for G.O.O.D. for Girls, Inc.
*
YES
NO
There is a $200 cost for the two-week LWS Summer Experience, which includes breakfast, snacks, lunch, t-shirts, workshops, supplies/materials, and two (2) field trips. Will you be seeking a scholarship from GfG?
*
YES
NO
Please tell us why you would qualify for a scholarship to the 2024 Lead with STEAAM Summer Experience?
*
Submit
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